I ka hana e wehe gallstones. Makaukau no ka kohoʻoki kino

Gallstone maʻi i kēia manawa lilo kekahi o kaʻike manaʻo loa a pau mawaena o abdominal pathology, aʻoki kino e wehe i gallstones - he ano o ke kumu kahua o pāʻoihana a hiki i ka pilikia.

Gallstone maʻi - He aha ka mea?

Kēia maʻi ua pili i ka ho okumu i loko o ka bile ducts a me ka laau awaawa, bladder na pohaku (calculi). Ua Ua hoʻomohala no ka mea kēia mau kumu:

• stagnation a loli i loko o ka haku mele 'ana o ka bile;
• hoʻoʻino keʻano o ka hanaʻana;
• bilification 'aʻe' (dyskinesia).

I ka haku mele 'ana, loaʻa nōʻekoluʻano o nā pōhaku. Ka loa, he pono ole (80-90% o ka hihia) loaʻa nō naʻokoko pohaku. Lākou ho okumu ka poʻea pau i loa naʻokoko ka maʻiʻo ma ke bile. A hiki keia ia lŘlŘ ke kahua o nā pōaka aie i ka palapala moʻopane o ka naʻokoko i oi precipitate. Inā ka motility o ka laau make bladder ua wāwahiʻia, a laila, i kēia mau ho okumu ana o ka mea,ʻaʻole e hōʻike 'ia i loko o ka intestinal wahi, a noho i loko o ia, a hoʻomaka i ka ulu.

Pigment na pohaku i hanaʻia ma muli o ka māhuahua disintegration o ke koko keena - ula koko keena. Ka hapanui o pinepine ka mea, hiki ke malama i ka hemolytic anaemia. Aia nō i hui hoʻonaʻauao. Ka mea, eia he huihui 'ana o nā' ano apau loa. Ua Ua hakuʻia o ka naʻokoko, bilirubin a me ka kalipuna.

Ina hana mea e pono

Mea a pau e i ua diagnosed me gallstones, ma neia hope aku 'alo i ka ninau o ina i operative uao paha e e lawa i ka makeʻe kulana lapaau. Ua mea waiwai i olelo ia i na pohaku ia lakou iho i ole kumu, e wehe i ka gallbladder. Inā ka mea, e ole hōʻike lākou iā lākou iho, a me ka mai i pili i ka maʻamau hana o nā kino, he hana hiki ole manaʻo. Eia naʻe, ina he mau eha ma ka gallbladder, he 'aʻe' ana i ka mau ana, yellowness, me ka manaʻo pono, e kukakuka lakou i ka surgeon. Ua i ka mea nana, ma hope o ka anamanaʻo e 'iʻo nō operative uao mea e pono ai a me ka mea ia ua. Akā, e makaala i cholecystitis gallbladder ia hoʻi, ua hoʻomaka 'ana i ka hoʻoʻino kaʻina. Inā excessive e ka hailonaʻana i ka olelo hooholo, me ka hiki wale mai i ka piha hoihoi ola ma hope oʻoki kino dramatically hoemiia. Oia hoi, ina ua he hookahi kaua, gallstones maikaʻi e wehe.

Nāʻikepili no kaʻoki kino

A lohe o ka hoʻoholo 'ana i ka pono no kaʻoki kino, mākaukau i hookuu noonoo i ka kēia kumumea:

• imua o na pohaku (calculi) o okoa nui like 'ole, iaeoe i ka hapakolu o ka laau make bladder;
• ina i ka maʻi mea he pinepine ho'āhewa wale o kaʻeha i loko o ka gallbladder (biliary colic), ka hana ua lawe mai ka nānā 'ana i ka nui o concrements;
• Inā i ka pōhaku i ka hooponopono ia i loko o ke au bladder, a ma na ducts;
• oiai e hoemi i ka hiki ana o ka gallbladder i aelike ai kona piha disconnection;
• ka hooulu ana o biliary pancreatitis;
• ma ka haki ana o ka gallbladder paia;
• me ka occlusion o ka pono hepatic leki uea.

Aia i hoʻonohonoho 'lula no ka hoomaopopo ana i ka pono no kaʻoki kino i loko o cholelithiasis. Summing i nā mea nui i i häʻawi mai ai iä ka na PalekanaEND_LINK nā hoailona, i ke kauka e ike ai i ko ua koiʻoki kino, e like me ka pono i pili, a piha nāʻikepili no ka mea.

'ano o nā hana

Nō kāu, i ke kaʻina hana o ka ho okumu ana o gallstones - ia mea e hoʻokēʻai. O ka holo ana, ina oe e unlucky, a me ka ambulance e lawe oe i kaʻoki lāʻau lapaʻau haukapila me ka huʻi kaua, a i diagnosed like cholecystitis, gallbladder, ke koho oe i mea uuku. Akā, ka hapanui o na kanaka ka poe i ike e pili ana i ka pilikia ma ka mua me kou kauka a pau negotiate nā mea kiko'ī, e hoʻoholo i ka lā o ka n ieaie?ʻoki kino.

Ma ke kālā no lapaau, ma laila nō nā ano o ka wehe i ka gallbladder (cholecystectomy)

• hamama cholecystectomy - ka hana kuʻuna ano o ka hoomaopopo ana no ka weheʻana i ka abdominal lua;
• laparoscopic cholecystectomy - he laekahi 'ana i kūpono i ka mea i oʻa ia i keia la.

hamama cholecystectomy

Kēia hana, e wehe i gallstones mea he Classicʻoki kino. Ma hope o ka mahele ma ke midline o ka abdomen ua i nana o ka abdominal lua, a me ka laau awaawa, bladder pōpilikia 'ana, ina he pono, nōkahea (mea hoʻonoho paipu, i mea e hōʻoia i ka outflow o ka kūpono exudate a me nā kino fluids).

I loko nō o ka muli o ke kēia a me ka kiʻekiʻe-ʻenehana ki ina hana like, e wehe ae cholecystectomy nō pili. Ua hiki ke wehewehe ia e ka mea i kekahi nā keʻena lāʻau lapaʻau e ole i ka ipu a hoʻomalu na palapala hōʻoia e lawe mai laparoscopic kaʻina hana. Ma waho aʻeo ia mau, loaʻa nō kekahi mau contraindications.

Laparoscopy gallbladder

'O kēia kekahi palapala o keʻoki kino i loko o gallstone maʻi. I ka lā, i kēia iaoia ua lilo hou, he pono ole no o kona laulā, haʻahaʻa-hopena, ka ho'ēmiʻana o ke ola hua'ōlelo. Ke hana ua hana ka hoʻohana 'ana i ka laparoscope - he kūikawā i hoʻomākaukauʻia, a leie komo ana i ka pōʻino, ua make hui, Via mau punctures ka abdominal paia ma a na manipulators i hoʻolauna a, nae, he laparoscope. Kēia papa hana e leie aku oe, e wehe i ole wale ka gallbladder ua ole e waiho ana i ka scars, akā, i loko o kekahi hihia wehe wale pohaku, e waiho ana i ke kino ma ka wahi. A like iaoia ua hoʻohana 'ole wale no o ka iapaau ana o ka gallstone maʻi, akā, no hoi no ka wehe' ana o appendicitis, ka iapaau ana o inguinal hernias, kekahi gynecological maʻi, a me ka lapaʻau 'ana hana. I loko nō o ka maopopo pono o laparoscopic cholecystectomy, keia iaoia i kona contraindications. Mau nā:

• abscess, Aia i loko o ka ciia o ka hana;
• ka hope na malama ekolu o ka hāpai keiki;
• loa cardiopulmonary maʻi.

Nō hoʻi, e mālama i ka manaʻo i loko o laparoscopicʻoki kino, ma ka hihia o ka iki pilikia i loko o konaʻikena, surgeons e hele e wehe cholecystectomy. Penei ka welau a ma kahi o 5% laparoscopicʻoki kino.

Makaukau no kaʻoki kino

E like me kekahiʻoki kino,ʻoki kino e wehe i nā pōhaku i loko o ka gallbladder koi kekahi aʻo. Ma waho o ka maʻamau anamanaʻo me ka haawi kālailai (CBC a me urinalysis, koko biochemistry, coagulation - hoʻokolokolo 'ana o ke koko clotting, ake hana ho'āʻo ma), ia mea pono ia e abdominal ultrasonography, electrocardiography, umauma X-kukuna, e like me nāʻikepili FGS a me colonoscopy, a kiʻi i ka practitioner ka hoike. Hoi, ko lakou hoomakaukau ana no ka kohoʻoki kino kikowaena ke kāpaeʻana ai 'ka hoohuoi ana coagulability o ke koko. Kēia loaʻa heʻano o anticoagulants, wikamina E, ole-steroidal Anati-hoʻoʻino ai '. A mau lā ma mua o ka hana pono kūikawā noonoo i kaʻai i loko o cholelithiasis. Ka 'ike no E ole no kaumahaʻai, a me ka hoʻomaka ana mai ke aumoe o ka lā, i ka wa o ka hana me ka mākaʻi, ia mea pono e hookaawale ia ai a me ka inu. Ma ka Ewa o ke kālepa lā no ka hoʻomaʻemaʻeʻana i nā naʻau i kakahiaka a me ke ahiahi i hoʻomaʻemaʻe enemas a lawe kūikawā ai '. Ma ke kakahiaka lawe i ka ua me ka antibacterial kopa.

Ka postoperative manawa

I kēia lā ia mea paakiki i ka mea hou kekahi cholecystectomy. Kēia hana, e wehe i gallstones ua lōʻihi kau "ma kahawai", a me ka mea e pili ana i like me ka appendectomy. Ke hoomanawanui i ua eha hola ma hope o ka pau 'ana o ka hana, a ma ia mea, aole e hiki i ka inu, a eʻoi neʻe ua' ae 'ia e kipa mai i loko o kahi moe. Oe hiki laila, hoʻomaka e inu i ka wai me ke kinoea i loko o liʻiliʻi wale i kaʻai (1-2 pharynx, akā,ʻaʻole oi aku mamua o 500 ml). Mahope o eono hola ma hope o laparoscopicʻoki kino o ka hoʻomanawanui ke kiʻi mai. Hana ka mea maikaʻi, ina he mea kekahi, mai ka 'inikua koʻokoʻo paha hoahanau, mai ma hope o ke kino no ka lōʻihi manawa noho i loko o ka papamoe wahi, a ma ka noho ana o anesthesia, ka wā e ho'āʻo ai i ala i hiki mai i e pōniuniu a me ka maʻule hou ihola nō. Ka nui aʻe ka lā ma hope o ka hana o ka hoʻomanawanui ke holo i ke alalai ole i loko o ka haukapila.

Ma hope oʻoki kino, i kaʻai meaʻano nui i loko o cholelithiasis. Menu o ka lā e loaʻa i ka wai aʻai - porridge ma luna o ka wai, dietary Nā Kopa, haleʻuwī waiū me nā huahana. Hou i loko o kaʻai ke komo i hoolapalapaia pipi, moa umauma, pulehu iho la i na ohia a me ka maiʻa. Ua pono e hoomanao ia i loko o ka hebedoma mua ma hope o ka hana ua hookapuia ka waiʻona, ikaika kī a me kope, kō, palai a me ka momomaʻai.

litholytic Inc

Ināʻoki lāʻau lapaʻau 'uao mea,ʻaʻole e hiki no i ka loa somatic maʻi a me kāna hana o ke koko clotting, e like me ka hoole ana o ka hoʻomanawanui mai keʻoki kino, e paa ana ia litholytic Inc. Keia hana, a hoʻohana mea haʻilula keimikala ec bile nāʻakika, manao e hoike mai i ka pohaku i hana. No ka mea, ua pono i ka noonoo ana i ka lōʻihi like 'ole o ka iapaau ana i ĸokoĸa ana nä pane mai kekahi makahiki a hiki i elua makahiki, a hiki ina he mea hiki ia, e hoike mai i ka gallstones loa, ka mea,' aʻole i kumu hoʻomalu i ka mea e ole hōʻike hou. Eia hou, i loko o ka papa o ka iapaau ana i e likeʻole complications o gallstone maʻi, a me ka poe e noi aku iʻoki lāʻau lapaʻau 'uao.

Ana hoʻohālike litholytic Inc

Kekahi kaupalena litholytic Inc i kekahi mau pono no ka mea hoʻohālike o ka maʻi.

1. Gallstones cholesteric pono e, me ka Ana i oi aku 20 mm o.
2. Hana o ka gallbladder ola a me ka pōhaku mai i noho oi ma mua o ka hapalua o kona buke.
3. Cystic a me ka maa bile leki uea e malama i kona patency.
4. Mai ke kahua o ka pohaku, aole oi aku mamua o elua makahiki.
5. Ma ka moolelo he pono e uncomplicated papa o ka maʻi - mehana eha, occasional bouts o colic.

Lapaʻau ua lawe mai ma lalo o ultrasound kela 3-6 mahina. Inā ma hope o eono mahina ka mea,ʻaʻohe hana hou, a laila ka mea, ua manaoia ineffective, a koke hou hoala i ke kahe o keʻoki kino. Inā litholytic Inc i Ua holomua, ma ka mea ana i nā manaʻoi hoʻokoe 'huai ae i ka lānai hou i hana gallstones, US e ma ka liʻiliʻi koke i loko o na malama ekolu.